NPI | 1528819026 |
---|---|
Former Name | SARAH CAMILLE FEDORCHAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0021854) |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-05-01 |